Successful Endovascular Rescue Using the Brockenbrough Needle Following Inadvertent Stent-Graft Deployment in the False Lumen

Inadvertent deployment of stent grafts into the false lumen during thoracic endovascular aortic repair (TEVAR) is rare and is associated with catastrophic consequences. We present a case of accidental stent-graft deployment from the true lumen into the false lumen during TEVAR, resulting in hemodyna...

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Bibliographic Details
Published in:Journal of Tehran University Heart Center 2022-07, Vol.17 (3), p.147-151
Main Authors: Rasalkar, Pavan, Vemuri, Krishna Santosh, Bootla, Dinakar, Revaiah, Pruthvi C, Mishra, Anand Kumar, Dahiya, Neelam, Ghosh, Soumitra, Barwad, Parag
Format: Article
Language:English
Subjects:
Aorta
Aortic dissection
Blood pressure
Brockenbrough needle
Cardiology
Cardiovascular system
Carotid arteries
Case Report
Case reports
Coronary vessels
Creatinine
Endovascular rescue
False lumen implantation
Grafting
Heart rate
Hemodynamics
Implants
Kidney diseases
Medical education
Stents
Surgical implants
TEVAR
Thorax
Tomography
Veins & arteries
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Summary:Inadvertent deployment of stent grafts into the false lumen during thoracic endovascular aortic repair (TEVAR) is rare and is associated with catastrophic consequences. We present a case of accidental stent-graft deployment from the true lumen into the false lumen during TEVAR, resulting in hemodynamic collapse and visceral malperfusion. We successfully performed a bailout using the Brockenbrough needle to create new access from the true lumen to the false lumen and implanted another overlapping stent graft.
ISSN:1735-5370
1735-8620
2008-2371
DOI:10.18502/jthc.v17i3.10848